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. �Y I <br /> , f � � � <br /> � \ p� <br /> ` �'' � � C <br /> r , ' ,r' �' \ � � <br />� . y � <br /> , � � �D� <br /> Y <br /> Total Fee: $ ,,-�� , ���� „ �� ateReceived: ;� jp 1 Z � ��� <br /> Entered By: ,ry�vL.�'— Permit#: ,�/�,-�/�(p <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (plense print all information) <br /> ------------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle o�ie) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: 7c���—���,�l:� �I.o ziP: �5��� <br /> Will this b a P de of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes No /f yes, a special event perrnit is requir�ed ivith Police Depurtment and City Cotrncil nppi•oval <br /> 60 dcrys prior to the event. Shid/le bus se�vice will be i•eguired t�nless applican[demonstrutes <br /> szrfficient on-site parking is avallable. Non-per•mitted events wil!not be allotived <br /> — �\� <br /> NAM�OF OWNER: I�I��T�('����2�.� PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: �--��J- _CITY: 1 IP; s--�S Co <br /> CONTRACTOR, 1� ��_.�t���(Z Cp PHONE: �SS <br /> CONTACT PERS01�����- MOBILE/PAG : <br /> MAILING ADDRESS: ���S�y c�1�lS� . CITY:� L, ZIP: � �� <br /> STATE LICENSE: # EXPIRATION DATE: <br /> �-�-�s ,�-c� , �-I <br /> ARCHITECT/ENGINEER: L,–��S►.��C. PHONE: <br /> MAILING ADDRESS.��� ��j}'-�"��„pCITY: 1,�15 ZIP: <br /> NAME: 2.�<��/�G REGISTRATION: # � <br /> �A��`{ov����s�-��;� <br /> TYPE OF WORK: New Home A rt�on Accessory Structure <br /> Move Home Remodel/Alteration (ie: Siding, Windows) <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSEll WORK(describe in detain: \ ��j <br /> � L� ' � i �"� �� <br /> � � P . <br /> STORIES: 2-- SQ.FEET OF EACH FLOOR: ' <br /> IYO. OF' B�.11ROOMS: GA1tAGE STALLS: ATTACHE�ll DETACH�D_ <br /> � a� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �� � <br /> 1 hereby apply for a building permit and I acknowledge that the infonnation above is complete and accurate; <br /> that the work will be in conformance with the ordinances and codes of the City and with the State Building <br /> Code;that 1 understand this is not a permit and work is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: � TE: �Z� —�C,o <br /> 31 <br />